Barrett Esophagus and Esophagojejunal Anastomotic Stenosis as Complications of Esophagogastric Disconnection in Children With Esophageal Atresia

Gottrand, Madeleine; Michaud, Laurent; Guimber, Dominique; Coopman, Stéphanie; Sfeir, Rony; Bonnevalle, Michel; Leteurtre, Emmanuelle; Gottrand, Frédéric

Journal of Pediatric Gastroenterology & Nutrition:
doi: 10.1097/MPG.0b013e3182929ec2
Original Articles: Gastroenterology
Abstract

ABSTRACT: Total esophagogastric disconnection (TED) is an alternative surgical procedure in resistant gastroesophageal reflux disease. We report 2 severe, not yet described long-term complications of TED occurring in 4 children with a history of esophageal atresia. Three children presented with stenosis of the esophagojejunal anastomosis 5 months to 9 years after TED, requiring repeated dilations associated with mitomycin C application in one of them. Barrett esophagus was observed in 3 children 8 to 9 years after TED. Careful long-term clinical and endoscopic follow-up of children who underwent TED is required.

Author Information

Reference Center for Congenital and Malformative Esophageal Disorders, Jeanne de Flandre Children's Hospital, Faculty of Medicine, University Lille2, Lille, France.

Address correspondence and reprint requests to Madeleine Gottrand, Centre de Référence des Affections Congénitales et Malformatives de l’Œsophage, Pôle Enfant, Hôpital Jeanne de Flandre, CHRU de Lille, Avenue Eugène Avinée, 59037 Lille, France (e-mail: frederic.gottrand@chru-lille.fr).

Received 11 January, 2013

Accepted 18 March, 2013

The authors report no conflicts of interest.

© 2013 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,